ENIOLA R OMISAKIN

UNION, NJ
NPI1841924743
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NJ  26NJ01324700)
Enumeration Date2022-07-15
Last Update Date2022-07-15
Business Address
ENIOLA R OMISAKIN
1070 CRANBROOK RD
UNION, NJ 07083-6329
Phone number: 908-499-1634
Mailing Address
ENIOLA R OMISAKIN
1070 CRANBROOK RD
UNION, NJ 07083-6329
Phone number: 908-499-1634
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